When performing the Heimlich maneuver, what is the first movement performed?

The first movement in the Heimlich maneuver involves rolling up to a fist. This step is crucial because creating a fist allows you to generate the necessary pressure and force needed to dislodge an object blocking the airway effectively. The fist is placed above the navel and is used to deliver upward thrusts, which can help expel the obstruction from the throat.

In contrast, pushing down on the abdomen or pulling the victim forward are not suitable initial actions, as they do not create the upward thrust necessary for the maneuver. Additionally, while asking the victim to cough can be a helpful assessment of their condition, it does not invoke immediate action to relieve the obstruction, making it a less effective starting movement in cases where the Heimlich maneuver is necessary.